Active NPI
Missouri Delta Medical Center
- Certified Registered Nurse Anesthetist
- Sikeston, MO
National Provider Identifier
1629128277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MISSOURI DELTA MEDICAL CENTER
- Practice address
- 1008 North Main
Sikeston, MO 63801-5044 - Phone
- (573) 471-1600
- Fax
- (573) 472-7740
- NPI assigned
- Jan 12, 2007
- Last updated
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Schrumpf
- Title
- Ceo, President
- Phone
- (573) 472-7601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
1008 North Main
Sikeston, MO 63801-5044
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540418902 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1629128277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015044",
"telephone_number": "573-471-1600",
"fax_number": "573-472-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 NORTH MAIN",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015044",
"telephone_number": "573-471-1600",
"fax_number": "573-472-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI DELTA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "SCHRUMPF",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "573-472-7601"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "540418902",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sikeston, MO
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Missouri Delta Medical Center (Missouri Delta Express Care)
- Missouri Delta Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.